Reduce Stress Levels Research Articles

The Mediating Effect of School Culture on the Relationship between Stress and Conflict Management Styles: Basin for Intervention Program

Abstract: This study investigated how school culture affects the relationship between stress levels and conflict management styles. The findings provide valuable information for establishing an intervention strategy in Region XI. The study used a quantitative research strategy, using correlational approaches for analysis. The sample included 400 teachers from Region XI. The data was collected using customized survey questions that were verified for content validity and reliability. The data were then evaluated using a variety of statistical approaches, including Mean, Pearson correlation coefficient, Multiple Regression Analysis, and Path analysis. The findings revealed a considerable reduction in stress levels, with conflict management styles scoring well. Furthermore, school culture was highly regarded. The study found strong connections among the variables, including clear links between stress levels, school culture, and conflict management styles. It also emphasized how school culture acts as a mediator in the relationship between stress and conflict management styles, providing insight into the process that connects stress levels to how disagreements are managed.

Effects of lighting on task performance, stress and thermal sensation in working environments

Studies have shown that the correlated colour temperature (CCT) of light significantly influences individuals engaged in study and work activities. However, the impact of CCT on stress and task performance, particularly when considering subjective preferences and experiences, has been explored only to a limited extent. This study aims to investigate the relationship between CCT, thermal sensation vote, stress levels and task performance. Forty-two healthy participants (21 female and 21 male, aged 20 to 53 years) participated in the experimental study. Participants completed a paper-based task and subjective questionnaires across three sessions, each conducted under different CCTs (2700 K, 4000 K and 6500 K). During these sessions, electroencephalogram (EEG) and heart rate variability were monitored to objectively assess stress levels. The study primarily focused on the activity of EEG alpha and theta waves in response to varying CCT degrees. Notably, significant activity was observed in the frontal lobes at 2700 K, particularly related to the frontal theta wave. Statistical significance was also identified in different brain regions in both alpha and theta waves among participants who demonstrated successful task performance. Additionally, participants reported optimal thermal comfort at 2700 K, which was associated with enhanced task performance and reduced stress levels.

Sustainable strategy of green open space in reducing stress levels in urban areas

Sustainable strategy of green open space in reducing stress levels in urban areas

The Impact of Stress on Women’s Sexuality in the First Months After Childbirth—A Pilot Cross-Sectional Comparative Study

Background: The postpartum period can carry strong stress related to the sudden changes in a woman’s life, which may contribute to changes in the female sexual sphere. The aim of this study was to determine the impact of stress on women’s sexuality in the early motherhood period. Methods: A total of 111 women were studied, including 65 in the puerperal period and 46 women who constituted the control group. We used the author’s questionnaire and five standardized psychological questionnaires (CISS-21,STAI, PSS-10, SSS-W, and the Mell–Krat Scale for women). Results: Perceived stress (PSS-10 scores) was significantly lower (p < 0.001) and sexual satisfaction (SSS-W scores) was significantly higher both regarding the summary scores (p < 0.001) and in all subscales (contentment, communication, and compatibility). In the study group, the intensity of stress was negatively correlated with the level of sexual satisfaction (p = 0.014). Women with an emotional way of coping with stress (CISS-21 inventory) in both groups achieved higher scores of sexual satisfaction in terms of communication, but a lower level in terms of interpersonal contact (p = 0.007), but higher stress intensity scores in the PSS-10 scale and in both STAI questionnaire stems. Conclusions: The early period of motherhood does not increase stress levels or decrease sexual satisfaction. It is likely that the sense of stability promotes a reduction in stress levels, which contributes to better sexual satisfaction.

A Plague(d) Tale: Are violent video games effective in reducing stress levels?

Stress relief is often cited as the main motive for playing video games. However, the effectiveness of video games in coping with stress, especially when comparing violent and non-violent genres, remains uncertain. In the present lab experiment with N = 82 participants, we assessed acute stress reduction after playing a violent vs. non-violent video game that followed stress induction using the Socially Evaluated Cold Pressor Test. We hypothesized that playing video games causes physiological (i.e., an increase in heart rate variability and a decrease in cortisol) and self-reported effects of stress relief, and a reduction in aggression levels, leading to restoration. Aggressive behavior was measured as self-reports and seconds in the Cold Pressor Test allocated to the next participant. In line with previous studies, participants playing a violent passage of a game reported feeling more stressed and aggressive, while those playing a non-violent passage of the same game felt less stressed and more relaxed. In contrast, however, we found an increase in heart rate variability as well as a decrease in heart rate and cortisol regardless of playing group, which indicates relaxation. This dissociation between self-reported and physiological stress results indicates that the own state of arousal is incorrectly assessed. This may be due to a different cognitive assessment of the characteristics of the respective game groups, as the violent game sequence was judged to be more difficult and challenging. However, the observed physiological relaxation effect might also suggest the potential of video game engagement for stress interventions.

The Influence of Sport Participation on Job Performance of University Lecturers in Rivers State

This study examines the influence of sport participation on the job performance of university lecturers in Rivers State, focusing on its effects on physical health, mental well-being, cognitive function, and overall job satisfaction. A mixed-method approach was employed, involving 200 lecturers who completed structured questionnaires and interviews. The findings revealed a statistically significant positive correlation between sports participation and physical health, with 67.5% of respondents strongly agreeing that regular sports improved their fitness (χ² = 24.083, df = 199, p < 0.05). Additionally, 62% reported experiencing fewer health issues, such as hypertension and diabetes, due to sports participation. The study also demonstrated that sports participation significantly reduces stress levels, with 54% strongly agreeing that it helps in managing stress and anxiety (χ² = 19.635, df = 199, p < 0.05). Cognitive function was notably enhanced, with 58.5% of lecturers agreeing that sports participation improved their concentration and mental clarity (χ² = 39.952, df = 199, p < 0.05). These improvements improved teaching effectiveness, increased research productivity, and enhanced administrative efficiency. Given these findings, the study rejects the null hypotheses and concludes that regular engagement in sports activities significantly enhances both physical and mental health, thereby improving job performance. The study recommends promoting sports programs, flexible scheduling, better access to facilities, and awareness campaigns to encourage regular participation among lecturers, which is essential for optimizing their professional effectiveness in the academic environment of Rivers State.

Joint Performance in Bonded Concrete Overlays of Asphalt

Bonded concrete overlays of asphalt pavements (BCOA), also known as whitetopping, consist of a thin concrete overlay on distressed asphalt or composite pavements. They typically have smaller panel sizes than traditional jointed plain concrete pavements (JPCP) in order to reduce stress levels. Faulting at the transverse joints is a distress in BCOA that is not currently addressed in current design procedures. The pumping mechanism that leads to this distress is the focus of this paper. Pumping in BCOA can develop at either the bottom of the overlay slab within the asphalt layer or at the bottom of the asphalt in the granular layer. It is essential to identify where the faulting initiates for each pavement structure, if accurate faulting models are to be developed for these pavement structures. An examination was conducted of 21 BCOAs located at the Minnesota Road Research Facility (MnROAD) to investigate how faulting initiates in BCOA and the rate at which it develops. To do this, the relationship between deflection load transfer efficiency (LTE) from falling weight deflectometer (FWD) testing and transverse joint faulting was examined. It was found that these parameters can be used in successfully defining when faulting initiates at the top of the asphalt and when it initiates at the top of the granular layer below the asphalt. Finally, the rate of the development of faulting in BCOAs resulting from pumping at the concrete/asphalt interface as well as pumping below the asphalt layer was compared to faulting predictions using current models. A good agreement between the observed and predicted faulting was not achieved.

Mechanical behavior of external root resorption cavities restored with different materials: a 3D-FEA study

BackgroundThe aim was to evaluate the stresses in teeth, with external root resorption (ERR) restored with different materials using finite element analysis (FEA).MethodsIn this study, a Micro-CT scan was conducted on a prepared maxillary central tooth. DICOM-compatible images obtained from the sections were converted into stereolithography format using Ctan software. Utilizing the VRMesh Studio program, a solid model was generated based on the 3D image obtained through micro-CT scanning. External root resorption cavities were strategically designed at the apical, middle, and coronal thirds levels on the buccal surface of the tooth root. Subsequently, these created resorption cavities were restored using Biodentin, mineral trioxide aggregate (MTA), and glass ionomer cement (GIC). The models were devided into 12 groups according to their location,the type of restoration, material used and the null group was added. To allow measurement of Von Mises stress values, a simulated oblique force of 100 N, was applied directed towards the palatal region of the upper central tooth at a 45° angle to the occlusal plane.ResultsThe highest von Mises stress value in the dentin was observed in the unrestored coronal cavity model (99.00 MPa). FEA results demonstrated that using a repair material significantly reduced the stress levels in the dentin. The lowest stress values were seen in cavities restored with Biodentine. The stress values in cavities treated with Biodentine and MTA were found to be similar.ConclusionsRestoring the external resorption cavity in the tooth significantly reduced stress levels in the dentin. Biodentine and MTA absorbed more force, transmitting less stress to the dentin compared to GIC.Clinical relevanceBiodentin and MTA can be used in the repair of external resorption cavities.

Stress and Displacement Dynamics in Surgically Assisted Rapid Maxillary Expansion: A Comprehensive Finite Element Analysis of Various Osteotomy Techniques.

Objectives: This study aimed to compare the effects of surgically assisted rapid palatal expansion (SARPE) techniques and their combinations on the stresses (von Mises, maximum principal, and minimum principal) and displacements that occur in the maxilla, facial bones, and maxillary teeth using three-dimensional finite element analysis (FEA). Methods: SARPE was simulated using seven different osteotomy techniques. The FEA models were simulated with a combination of various osteotomies, including midpalatal and lateral osteotomies, lateral osteotomy with a step, and separation of the pterygomaxillary junction. For each osteotomy variant, the instantaneous displacements and stresses resulting from forces applied by a 1 mm expansion of a tooth-borne appliance were evaluated. Results: Midpalatal osteotomy increased lateral displacement in the alveolar bone margins and intermaxillary suture while significantly reducing stresses around the intermaxillary suture. The addition of a pterygomaxillary osteotomy to the midpalatal and lateral osteotomies effectively reduced stresses in the posterior maxilla and cranial structures while enhancing lateral displacement. Although lateral osteotomy significantly reduced stresses in the midface, its effect on maxillary expansion was limited. Stepped lateral osteotomy had minimal effects on transverse displacement and stress reduction. Conclusions: Increasing the number of osteotomies reduced stress levels in the maxilla while enhancing lateral displacement. These results highlight the importance of selecting the most appropriate osteotomy technique to achieve optimal outcomes.

Exploring Quantum Touch Therapy's Efficacy in Managing Stress Among Young Stroke Survivors: A Quasi-Experimental Approach

Stroke is a neurological disorder that can lead to disability and significant stress, particularly among young stroke survivors. Quantum Touch therapy, an alternative energy-based therapy, may hold potential for stress management. Evaluate the effectiveness of Quantum Touch therapy in reducing stress levels among young stroke survivors. This quasi-experimental study used purposive sampling, involving 76 young stroke survivors (aged 18-50), who were randomly assigned to either the intervention group (38 participants), receiving Quantum Touch therapy, or the control group (38 participants), receiving only standard care. Therapy sessions were conducted six times per week, each lasting 30 minutes, over the study period from March 1 to May 1, 2024. Stress levels were measured using the Depression Anxiety Stress Scales-42 questionnaire before and after the intervention. Analysis showed that the intervention group experienced a significant reduction in stress levels after undergoing Quantum Touch therapy, with an average stress score change of 3.29 (p < 0.001), while the control group showed no significant change (p = 1.000). The statistical analysis also highlighted a substantial effect size in the intervention group, emphasizing the quantifiable impact observed. This study suggests that Quantum Touch therapy has significant potential in reducing stress levels among young stroke survivors. The therapy contributes to stress reduction by restoring energetic balance, leading to deep relaxation and decreased anxiety and muscle tension. The findings support the inclusion of Quantum Touch therapy as a complementary approach in post-stroke rehabilitation, offering measurable benefits in stress management for young stroke survivors

Mindfulness-Based Stress Reduction Program for reducing anxiety and depression in hospital staff during a pandemic: A randomized controlled trial

Hospital staff have experienced an increase in psychopathological symptoms such as anxiety or depression during the COVID-19 pandemic. Thus, the aims of the present research were, firstly, to study the effectiveness of the Mindfulness-Based Stress Reduction Program in reducing psychopathological symptoms in hospital staff during the COVID-19 pandemic, as well as, its effectiveness in increasing mindfulness-related skills, self-compassion, body awareness, and reducing stress levels. This parallel randomized controlled trial consisted of 97 hospital workers who were divided into two groups: the experimental group (n=54) and the control group (n=44). To test the efficacy of the program, participants' levels of psychopathological symptoms, mindfulness-related skills, self-compassion, body awareness, and stress were assessed and compared before and after the intervention. The results show a significant group×time interaction and significant differences in somatizations (p=.03; η2p=.047), depression (p=.01; η2p=.103) and anxiety (p=.02; η2p=.054). As well as in the following secondary outcomes: from the Five Facet Mindfulness Questionnaire: Observing (p=.001; η2p=.176), acting with awareness (p=.01; η2p=.151), nonjudging; (p=.01; η2p=.103) and nonreactivity (p=.02; η2p=.101). In the Self-Compassion Scale: self-kindness (p=.029; η2p=.049), mindfulness (p=.033; η2p=.047), self-judgment (p=.016; η2p=.060) and isolation (p=.025; η2p=.051. And finally, in the Body awareness subscale from Self-Body Connection (p=.044; η2p=.042). These results highlight the importance of providing hospital staff with skills that help them connect in the present with their feelings and thoughts, without judgment and with self-compassion, to protect them from suffering an increase in their symptoms of somatization, anxiety, and depression, in adverse times like a pandemic.

The Effect of Reiki Applied to Cancer Patients on Pain, Anxiety, and Stress Levels: A Randomized Controlled Study.

The aim of this study is to investigate the effect of Reiki applied to cancer patients on their pain, anxiety, and stress levels. This three-armed, double-blinded, and randomized follow-up trial, which involves experimental, placebo and control groups, enrolled 58 cancer patients at a medical center in Türkiye. The data for the research was collected a total of four times, including pre-test, 4th day follow-up, 21st day follow-up and 3rd month follow-up periods, using the Visual Analog Scale, State-Trait Anxiety Inventory and Perceived Stress Scale. The experimental group received Reiki, the placebo group received Sham Reiki and the control group received Progressive Relaxation Exercise for 4 days. In the within-group time comparison of Reiki and Progressive Relaxation Exercise groups, a significant decrease in pain and anxiety levels over time between the pre-test and other measurement times was found, and the most significant decrease occurred in the Reiki group. There was no significant difference in cortisol levels between groups. There was a significant interaction in Perceived Stress Scale median scores between groups. In the 3rd month follow-up, it was found that the lowest stress levels were in the Reiki group. It was concluded that Reiki is effective in the long term for pain and anxiety, and it is more effective in reducing stress levels compared to Progressive Relaxation Exercise. Reiki was found to be effective on pain and anxiety in the long term and more effective than Progressive Relaxation Exercise in reducing stress levels. Reiki is more effective in reducing the pain, anxiety, and stress levels of cancer patients compared to Sham Reiki and Progressive Relaxation Exercise. The use of Reiki, a complementary and integrative therapy method, as a nursing intervention can be recommended for improving pain, anxiety, and stress levels in cancer patients.

Development of Healing Forest Nature Tourism and Health in Tahura Wan Abdul Rachman Lampung

Wan Abdul Rachman Lampung Grand Forest Park (Tahura) is a nature conservation area with the aim of collecting natural or non-natural plants and/or animals, native and/or non-native species that are not invasive and used for research, science, education, to support cultivation, culture, tourism and recreation covering an area of 22,242 hectares. Its biodiversity has the potential to be developed into a natural and health tourism destination. Healing Forest, which combines nature tourism with mental and physical health benefits through interaction with nature, offers new opportunities to improve people's quality of life while promoting forest sustainability. The research aims to identify potential and design the development of the Healing Forest concept in Tahura Wan Abdul Rachman. This research uses a qualitative descriptive approach with surveys, observations, in-depth interviews and data analysis. The research results show that Tahura Wan Abdul Rachman has high biodiversity and natural beauty which really supports the development of the Healing Forest. Survey results show that visitors experience reduced stress levels, improved mood, and increased physical fitness after visiting. Interviews revealed the need for improved facilities in the form of walking paths, rest areas, and educational information about local flora and fauna. In conclusion, Healing Forest has great potential to provide dual benefits in the form of: improving visitor health and preserving the environment. Implementing the right management strategy can make Tahura Wan Abdul Rachman a leading tourist destination in Lampung.

Exploring the Levels of Stress, Anxiety, Depression, Resilience, Hope, and Spiritual Well-Being Among Greek Dentistry and Nursing Students in Response to Academic Responsibilities Two Years After the COVID-19 Pandemic.

Background: Dentistry and nursing students experience significant anxiety, negatively impacting their well-being and academic performance. Objectives: This study aims to assess the prevalence and relationships of stress, anxiety, depression, resilience, hope, and spiritual well-being among dentistry and nursing students, identify demographic influences and propose strategies to enhance resilience and well-being. Methods: This study surveyed 271 students attending Greece's departments of dentistry and nursing at the National and Kapodistrian University of Athens, using an electronic questionnaire aimed to assess stress, anxiety, and depression (depression, anxiety, stress scale-DASS-21); resilience (resilience assessment questionnaire-RAQ8, brief resilience scale-BRS); hope (adult hope scale-AHS); and spiritual well-being (functional assessment of chronic illness therapy-spiritual well-being scale-FACIT-Sp-12). The survey also collected demographic data to identify factors influencing these variables. Statistical analyses, including hierarchical multiple linear regression and t-tests, were performed to analyze the relationships between variables. Results: The sample included 145 dentistry and 126 nursing students, with 68.6% female and 80.1% undergraduate. Half of the students reported mild or higher levels of stress (48.7%), anxiety (51.3%), and depression (53.5%). The prevalence of depression was the highest in our sample, followed by anxiety and stress. Higher family wealth was associated with reduced stress levels, while female undergraduate students reported higher levels of anxiety than their male counterparts. Hope was a strong predictor of resilience, but stress and worry had a negative correlation. Conclusions: Promoting students' well-being and academic success requires effective stress-reduction and resilience-building techniques to improve students' performance and support future healthcare professionals' personal sustainability and holistic growth.

Mindfulness techniques as a strategy for reducing stress levels in pre-school and primary school teachers

The objective of the research exordium is to propose mindfulness techniques as a strategy to reduce stress levels in teachers at the initial and preparatory level of the Costa Azul Educational Unit of Manta in the 2024-2025 school year. The problem is that teachers present work stress, which affects daily activities and teaching techniques with students, in addition to the lack of interest and motivation in working under pressure. From this perspective, it is emphasized to develop a technique that improves the work environment and especially the quality of life of the teachers, addressing the emotional level and the pace of actions within the work field. The methodology applied in this study was based on bibliographic, field research, with a study in the quantitative approach, which allowed measuring and quantifying the level of stress of the initial and high school teachers, on the other hand, the analytical, synthetic and statistical methods, which under the survey techniques, explicit information was collected in the study process. Regarding the results obtained, the state of stress of the teachers was verified, proposing the development of an intervention plan through mindfulness. It is concluded that the teachers want to carry out a mindfulness intervention plan with the aim of reducing stress and having a better quality of life, both work and emotional.

Case Management of Counseling Guidance for Inmates Experience Stress During Early Coaching

The phenomenon of stress in prisoners is currently an urgency for various researchers. This stress occurs because it is experienced due to changes in the atmosphere of the general public, but entering a criminal facility makes them feel uncomfortable, starting from mental pressure, anxiety, anti-social behavior, and even suicide due to stress. Therefore, there is a need for case management so that inmates can face situations of stress and fear when undergoing initial formation in state detention centers. This study used a qualitative research method with a case study research design, employing observation, study documentation, and interviews for data collection. There were 6 informants, 1 of whom was a prisoner, along with 1 guard officer, 1 registration officer, and 3 inmates. This research emphasizes interactive data analysis and qualitative confirmation of source triangulation results. The object of research lies in how prisoners can undergo an excellent initial coaching period to manage stressful situations and fears. The results of this research indicate that correctional guardians have a role in providing counseling guidance on the stress of inmates during initial training at the Painan Detention Center, where the stress levels of inmates are very high. The effective counseling guidance methods or techniques used include a religious approach to reduce stress on inmates during the initial training period. This action seeks to reduce stress levels and provide assistance to prisoners. This research presents a novelty that lies in the experience of stress management during the initial guidance of inmates.

Promoting Employee Well-Being and Mental Health: An Analysis of Initiatives at Flipkart, Bommanahalli, Bangalore

Employee well-being and mental health are critical for fostering a productive and engaged workforce. This analysis explores initiatives implemented at Flipkart to promote mental health and holistic well-being among employees. Key measures include flexible work policies, counselling support, mental health awareness programs, and innovative digital wellness platforms. Flipkart emphasizes creating a supportive organizational culture by encouraging open communication and work-life balance. The company’s approach integrates preventive care, such as resilience training, and reactive support, like professional counselling services. Results from these initiatives highlight increased employee satisfaction, reduced stress levels, and improved overall productivity. This study underscores the significance of proactive strategies in addressing workplace mental health challenges, setting a benchmark for similar organizations. Recommendations for future improvements and scalability are also discussed. Key Words:Employee well-being, mental health, Flipkart, workplace initiatives, digital wellness.

Employee Performance, Knowledge Management, and Work Environment on Job Stress at PT. Mentari Terbit Engineering, Bandung City

Work stress is a condition of tension that affects the physical and mental balance of employees, which in turn can reduce performance and productivity in the workplace. PT Mentari Terbit Engineering (MTE) faces challenges in maintaining optimal employee performance amidst the dynamics of a competitive work environment. For this reason, good human resource management, including the application of knowledge management and the creation of a comfortable work environment, is crucial in reducing work stress levels and improving employee performance. This study aims to analyze the effect of employee performance, knowledge management, and work environment on work stress at PT Mentari Terbit Engineering, Bandung City. Using quantitative methods, data were obtained through questionnaires on 50 employees selected by simple random. The data were then analyzed by Structural Equation Modeling (SEM) method using LISREL software. The results showed that work environment and work stress had a significant influence on employee performance, while knowledge management showed no significant influence. This study implies the importance of creating a conducive work environment to increase productivity and reduce stress levels in the work environment.

Does Mindfulness Reduce Stress Levels and Enhance the Subjective Well-being of Teachers? – Insights from an Experiment

Purpose: The purpose of this research is to elucidate and bring out the efficacy of the Mindfulness Interventional Programme (MIP) in lowering the stress of the Teachers and thereby enhancing and ensuring a healthy mindset and Subjective well-being. Design/Methodology/Approach: The researcher made use of the following three tools: Depression, Anxiety and Stress Scale-21 Items (Lovibond and Lovibond, 1995), The Subjective Well-being Inventory (Sell and Nagpal, 1992) and the Five Facet Mindfulness Questionnaire (Baer, Button, Krietemeyer, Sauer & Williams 2008). This experimental study was conducted among the teachers in Siddhartha Public School Pallimon at Kollam, Kerala. The deductive Approach method was adopted in the experimental study. Finding/Result: The study’s primary goal was to understand the sources of stress and how they impact teachers' subjective well-being. A group of 70 teachers was selected as a sample for this study using a random sampling method. The survey focused on the various factors that brought different challenges in the lives of the teachers and assessed how the effects of mindfulness would reduce their stress levels and enhance their subjective well-being. It is observed that those who practice mindfulness easily overcome various challenges than those who don't. Mindfulness reduced stress levels and ensured subjective well-being. Originality/Value: Analyzing the demographic details of selected teachers, we try to find out the important factors that affect their Subjective well-being. It is found that the proper awareness of the challenges received from mindfulness helped them to tackle the issues efficiently to lead a balanced and satisfied life. As a result, the teachers’ stress levels are reduced and consequently, their subjective well-being is improved. Paper Type: An Experimental Study

Longitudinal interplay between subjective stress, anxiety, depression, and well-being in internet-based stress recovery intervention for nurses.

Cognitive behavioural therapy (CBT) interventions are effective in reducing subjective stress. Nevertheless, the longitudinal links between mental health indicators are rarely studied in intervention research. Therefore, it is unknown how the intervention effects are sustained. The current study investigated mechanisms explaining sustained intervention effects in a sample of medical nurses who receive a CBT-based internet-delivered stress recovery program. A single-group longitudinal study design with three measurement points, pre-test, post-test, and 3-month follow-up, was used in the current study. The sample consisted of nurses and assistant nurses from Lithuania (n=111, age: M (SD) = 41.69 years (10.85)) who had participated in a 6-week CBT internet intervention targeting stress recovery. Data were collected as the randomised control trial, the treatment samples were combined, and the data were analysed using cross-lagged panel analysis with four variables representing the psychological well-being and symptoms of stress, anxiety, and depression. The results revealed that decreased anxiety and increased psychological well-being at post-test predicted reduced stress levels at the 3-month follow-up. In addition, decreased anxiety at post-test predicted decreased depression at follow-up. Decreased anxiety and increased well-being could explain the sustainability of reduced stress following a CBT-based internet intervention for nurses. The implications of this for research and practice are discussed.